Individual provider Active NPI

Shaya Ghazinoor, MD

  • Diagnostic Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1124036462
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A76305 Issued in CA
Practice address
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone
(949) 645-3534
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A76305 CA Primary

Addresses

Primary practice location

1 Hoag Dr
Newport Beach, CA 92663-4162

Mailing address

20 Executive Park Ste 155
Irvine, CA 92614-4733
Phone (949) 263-8620

Other identifiers 3

IdentifierTypeStateIssuer
1124036462MedicaidCA
00A763050OtherCABS OF CA
00A763050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000402 CA Practitioner - Diagnostic Radiology 7911903406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Newport Center Radiology Associates Medical Group IncGroup PAC ID 7810800166, 60 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 764-4624

19582 Beach Blvd
Suite 160
Huntington Beach, CA 92648-2996
Phone (714) 378-4992

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534

3877 Portola Pkwy
Irvine, CA 92602-0828
Phone (949) 557-0720

6352 Irvine Blvd
Irvine, CA 92620-2102
Phone (949) 764-2888

993 Avenida Pico
Suite 110
San Clemente, CA 92673-3908
Phone (949) 764-5573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76305CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
Newport Center Radiology Medical Group Inc. Past Accepting new patients

Locations

20 Executive Park
Ste 155
Irvine, CA 92614

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534

360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

Dept LA 21705
Pasadena, CA 91185

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1124036462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE PARK STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144733",
            "telephone_number": "949-263-8620",
            "fax_number": "800-409-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-645-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZINOOR",
        "first_name": "SHAYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A76305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124036462",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CA",
            "identifier": "00A763050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A763050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.